Individual
LATISHA FAY CARTER-CHAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCASA
Contact information
Practice address
2200 CLYBORN CHURCH RD, LUMBERTON, NC 28360
(910) 739-9160
Mailing address
2200 CLYBORN CHURCH RD, LUMBERTON, NC 28360-9356
(910) 739-9160
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-24365
NC
1041C0700X
Clinical Social Worker
P010376
NC
Other
Enumeration date
01/22/2018
Last updated
06/26/2018
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